Individual provider Active NPI

Israel Gonzalez-Cruz, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1891851788
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13382 Issued in PR
Practice address
Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725
Phone
(787) 744-1556
Fax
(787) 744-1556
NPI assigned
Dec 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13382 PR Primary

Addresses

Primary practice location

Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725

Mailing address

Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725
Phone (787) 744-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000201 PR Practitioner - General Practice 6709778947 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Borinquen Ave
Res Bairoa DQ 15
Caguas, PR 00725
Phone (787) 744-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13382PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891851788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RES. BAIROA DQ-15 42ND STREET",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-1556",
            "fax_number": "787-744-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RES. BAIROA DQ-15 42ND STREET",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-1556",
            "fax_number": "787-744-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CRUZ",
        "first_name": "ISRAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.